EP0069389A1 - Manipulateur pour couteau à laser - Google Patents
Manipulateur pour couteau à laser Download PDFInfo
- Publication number
- EP0069389A1 EP0069389A1 EP82106032A EP82106032A EP0069389A1 EP 0069389 A1 EP0069389 A1 EP 0069389A1 EP 82106032 A EP82106032 A EP 82106032A EP 82106032 A EP82106032 A EP 82106032A EP 0069389 A1 EP0069389 A1 EP 0069389A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- optical fiber
- hand piece
- manipulator
- laser
- laser knife
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B6/00—Light guides; Structural details of arrangements comprising light guides and other optical elements, e.g. couplings
- G02B6/24—Coupling light guides
- G02B6/26—Optical coupling means
- G02B6/32—Optical coupling means having lens focusing means positioned between opposed fibre ends
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B2018/225—Features of hand-pieces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B2018/2255—Optical elements at the distal end of probe tips
- A61B2018/2266—Optical elements at the distal end of probe tips with a lens, e.g. ball tipped
Definitions
- This invention relates to an improvement of a manipulator for a laser knife (hereinafter referred to as "a laser knife manipulator", when applicable) which uses an optical fiber as a light conducting path.
- a laser beam is monochromatic and excellent in directivity.
- the laser beam is utilized as a laser knife in the field of medical treatment, and especially when the small limited part of the body is subjected to medical treatment or surgical operation, the use of the laser knife is effective.
- a laser beam from a laser oscillating section is applied to the part of the body which is subjected to medical treatment or surgical operation.
- the lase beam is applied correctly to an extremely small target.
- an optical fiber small in weight and excellent in flexibility is frequently used as the light conducting path.
- the laser beam is applied to the part to be irradiated, with the cover 2 of the optical fiber 1 directly gripped,-as shown.
- FIG 1, which is an explanatory diagram of the front end portion of the manipulator. Accordingly, the optical fiber 1 is liable to bend during irradiation, as a result of which it is impossible to correctly apply the laser beam to the part to be irradiated, and the temperature is increased by the reflected light.
- a laser knife manipulator has been proposed in the art, in which, as shown in FIG. 2, the front end portion of an optical fiber 1 is inserted into a hand piece 3 which is made of a straight pipe of metal or synthetic resin.
- the conventional manipulator still suffers from drawbacks that it is difficult to apply the laser beam in the directions other than the axial direction of the hand piece 3; i.e., some parts cannot be irradiated with the laser beam, with the result that the range of application to medical treatment or'surgical operation is limited.
- an object of this invention is to eliminate the above-described drawbacks accompanying a conventional laser knife manipulator.
- an object of the invention is to provide a laser knife-manipulator with which a laser beam can be correctly-applied to all the parts to be irradiated irrepective of the positions and the configurations of the parts.
- a first example of a laser knife manipulator according to this invention comprises: an optical fiber 1 as a light conducting path adapted to conduct a laser beam from a laser oscillating section (not shown); and a hand piece 3 detachably put over the end portion of the optical fiber 1.
- the hand piece 3 is suitably shaped according to the configuration and the position of the part to be irradiated with the laser beam. More specifically,'the hand piece 3 is made of metal or synthetic resin and has an inside diameter which is slightly larger than the outside diameter of the cover 2 of the optical fiber. One end portion of the hand piece 3 is bent as shown in FIG. 3. Male threads are formed on the outer wall of the other end portion of the hand piece 3.
- the manipulator further comprises: a rubber sleeve 4 having an O-ring-shaped protrusion at one end; and a cap 5 having female threads on the inner wall thereof.
- the rubber sleeve 4 is put over the optical fiber's cover 2 in such a manner that the rubber sleeve 4 is set beside the hand piece 3 and is held there by the elastic force of itself. Under this condition, the cap 5 is screwed onto the threaded portion of the hand piece.
- the cap 5 and the rubber sleeve 4 are put over the optical fiber's cover 2, and then the optical fiber 1 is inserted into the hand piece 3. Under this condition, the cap 5 is screwed on the threaded portion of the hand piece 3. As a result, the O-ring-shaped protrusion of the rubber sleeve 4 is pressed against the hand piece 3, so that the hand piece 3 is fixedly secured to the cover 2.
- the hand piece 3 can be readily removed from the optical fiber 1 by unscrewing the cap 5.
- A'variety of hand pieces such as straight hand pieces and bent hand pieces different in the radius of curvature can be fabricated separately according to the configurations and the positions of the parts to be irradiated. Accordingly, with a suitable one of these hand pieces, the laser beam can be applied correctly to the aimed part, and the part to be'irradiated will never be covered by the operator's band.
- the hand piece 3 the rubber sleeve 4 and the cap 5 are removed from the optical fiber 1, then the latter can be readily inserted into the laser knife inserting hole of a conventional endoscope, so that it can be used with the endoscope.
- FIG. 4 Another example of the laser knife manipulator according to the invention is as shown in FIG. 4.
- an optical fiber 6 is fixedly inserted into a hand piece 3 which has been shaped as desired, and when the hand piece 3 is secured to an optical fiber 1, the latter 1 is optically coupled to the optical fiber 6.
- a coupling lens 7 is fixedly secured to the coupling end of the optical fiber 6 in the hand piece 3.
- a lens 8 for condensing the laser beam is fixed to the other end of the optical fiber 6 in the hand piece 3.
- a rubber sleeve 4 and a cap 5 are put over the optical fiber 1 which is coupled to the hand piece 3.
- a lens holder 10 holds a coupling lens 9 which is set at the front end of the optical fiber 1.
- the lens hold 10 is threadably engaged with the cap 5.
- a coupling nut 11 is provided on the lens holder 10. The coupling nut 11 is used to fixedly couple the lens holder 10 to the hand piece 3.
- the front end portion of the optical fiber 1, on which the rubber sleeve 4 and the cap 5 have been mounted is inserted into the lend holder 10.
- the cap 5 is screwed on the lens holder 10, so that the latter 10 is fixedly secured to the front end portion of the optical fiber.
- the coupling nut 11 is tightened so that the hand piece 3 with the optical fiber 6 is fixedly secured to the lens holder 10.
- the optical fiber 1 is optically coupled to the optical fiber 6, and the hand piece 3 is fixedly secured.
- two lenses are used for optical coupling; however, the number of lenses may be one or more than two.
- the laser knife manipulator can be readily coupled to an endoscope.
- the laser knife manipulator according to the invention has a wide range of application.
Landscapes
- Physics & Mathematics (AREA)
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Optics & Photonics (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Electromagnetism (AREA)
- Engineering & Computer Science (AREA)
- General Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Otolaryngology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Laser Surgery Devices (AREA)
- Laser Beam Processing (AREA)
- Radiation-Therapy Devices (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP56105077A JPS587235A (ja) | 1981-07-07 | 1981-07-07 | レ−ザメス |
JP105077/81 | 1981-07-07 |
Publications (2)
Publication Number | Publication Date |
---|---|
EP0069389A1 true EP0069389A1 (fr) | 1983-01-12 |
EP0069389B1 EP0069389B1 (fr) | 1986-11-12 |
Family
ID=14397867
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP82106032A Expired EP0069389B1 (fr) | 1981-07-07 | 1982-07-06 | Manipulateur pour couteau à laser |
Country Status (6)
Country | Link |
---|---|
US (1) | US4538609A (fr) |
EP (1) | EP0069389B1 (fr) |
JP (1) | JPS587235A (fr) |
AU (1) | AU8569382A (fr) |
CA (1) | CA1196694A (fr) |
DE (1) | DE3274184D1 (fr) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0069351A2 (fr) * | 1981-07-02 | 1983-01-12 | Sumitomo Electric Industries Limited | Poiguée pour couteau chirurgical à laser |
FR2552656A1 (fr) * | 1983-09-30 | 1985-04-05 | Messerschmitt Boelkow Blohm | Applicateur a main pour la chirurgie a laser |
EP0336009A1 (fr) * | 1988-03-07 | 1989-10-11 | Deutsche Aerospace AG | Dispositif à un conduit de lumière |
EP0439263A1 (fr) * | 1990-01-12 | 1991-07-31 | Laserscope | Pince pour instruments |
Families Citing this family (46)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS6034848U (ja) * | 1983-05-17 | 1985-03-09 | 宮島 一清 | レ−ザ光線治療器用光線照射管 |
CA1247957A (fr) * | 1983-10-28 | 1989-01-03 | Ronald L. Mccartney | Oxymetre |
US5007704A (en) * | 1983-10-28 | 1991-04-16 | Baxter International Inc. | Oximeter |
US4671273A (en) * | 1984-03-19 | 1987-06-09 | Lindsey Ernest J | Laser hand piece, for use in opthalmic, plastic, and ear, nose, and throat surgery |
JPS61168803U (fr) * | 1985-04-11 | 1986-10-20 | ||
US4895145A (en) * | 1985-05-28 | 1990-01-23 | Surgical Laser Technologies, Inc. | Two-piece disposable laser delivery system |
US4785805A (en) * | 1985-05-28 | 1988-11-22 | Surgical Laser Technologies, Inc. | Two-piece disposable laser delivery system |
US4621635A (en) * | 1986-02-07 | 1986-11-11 | Hemorrhoid Clinic Of America | Method for treating hemorrhoids |
US4800877A (en) * | 1986-05-23 | 1989-01-31 | Laserscope | Laser output calibration tab |
US4781185A (en) * | 1986-07-21 | 1988-11-01 | Gv Medical, Inc. | Connecting apparatus for catheter assembly |
US4911712A (en) * | 1988-04-14 | 1990-03-27 | Heraeus Lasersonics, Inc. | Medical laser probe |
US5180304A (en) * | 1988-08-25 | 1993-01-19 | American Dental Laser, Inc. | Method for apical fusion of the foramina |
US5324200A (en) * | 1988-08-25 | 1994-06-28 | American Dental Technologies, Inc. | Method for enlarging and shaping a root canal |
US4940411A (en) * | 1988-08-25 | 1990-07-10 | American Dental Laser, Inc. | Dental laser method |
AU4197289A (en) * | 1988-08-25 | 1990-03-23 | Michael H. Brewer | Dental laser assembly |
EP0368512A3 (fr) * | 1988-11-10 | 1990-08-08 | Premier Laser Systems, Inc. | Laser médical à longueurs d'ondes multiples |
US5885082A (en) * | 1988-12-21 | 1999-03-23 | Endo Technic International Corporation | Dental and medical procedures employing laser radiation |
US5194005A (en) * | 1988-12-21 | 1993-03-16 | Laser Medical Technology, Inc. | Surgical and dental procedures using laser radiation |
US5207673A (en) * | 1989-06-09 | 1993-05-04 | Premier Laser Systems, Inc. | Fiber optic apparatus for use with medical lasers |
US5192279A (en) * | 1989-08-08 | 1993-03-09 | Samuels Mark A | Dental tissue cutting, drilling and fusing system |
US5885272A (en) * | 1990-10-30 | 1999-03-23 | Aita; Michael | System and method for percutaneous myocardial revascularization |
US5688261A (en) | 1990-11-07 | 1997-11-18 | Premier Laser Systems, Inc. | Transparent laser surgical probe |
US5722970A (en) * | 1991-04-04 | 1998-03-03 | Premier Laser Systems, Inc. | Laser surgical method using transparent probe |
DE4227803C2 (de) * | 1991-08-23 | 2002-07-18 | Hoya Corp | Laserbehandlungsgerät |
US6406486B1 (en) | 1991-10-03 | 2002-06-18 | The General Hospital Corporation | Apparatus and method for vasodilation |
JPH07502423A (ja) * | 1991-10-03 | 1995-03-16 | ザ ゼネラル ホスピタル コーポレーション | 血管拡張のための装置および方法 |
US5282798A (en) * | 1992-02-12 | 1994-02-01 | Heraeus Surgical, Inc. | Apparatus for supporting an orbicularly tipped surgical laser fiber |
US5318562A (en) * | 1992-03-10 | 1994-06-07 | Laser Endo Technic Corporation | Handpiece for delivering laser radiation |
IL102083A (en) * | 1992-06-03 | 1997-01-10 | Laser Ind Ltd | Laser beam delivery system |
US5390204A (en) * | 1992-09-25 | 1995-02-14 | Incisive Technologies, Inc. | Intracavity modulated pulsed laser with a variably controllable modulation frequency |
DE4233744A1 (de) * | 1992-10-07 | 1994-04-14 | Hager & Meisinger Gmbh | Werkzeug zum Behandeln durch Laserstrahlen |
US5346489A (en) * | 1992-11-18 | 1994-09-13 | Luxar Corporation | Medical laser delivery system |
IL105956A (en) * | 1993-06-08 | 1996-10-16 | Univ Ramot | Laser beam waveguide and laser beam delivery system including same |
US5416878A (en) * | 1993-07-29 | 1995-05-16 | Endeavor Surgical Products, Inc. | Surgical methods and apparatus using a bent-tip side-firing laser fiber |
FR2709763B1 (fr) * | 1993-09-08 | 1995-10-13 | Commissariat Energie Atomique | Dispositif de traitement d'un matériau, à tête photo-ionique miniaturisée. |
US5514126A (en) * | 1993-10-12 | 1996-05-07 | Prescott; Marvin | Fiber optic assembly for laser treatment system |
US5395360A (en) * | 1994-02-23 | 1995-03-07 | Coherent, Inc. | Damage resistant sterilizable fiber optic probe assembly |
US6156028A (en) | 1994-03-21 | 2000-12-05 | Prescott; Marvin A. | Method and apparatus for therapeutic laser treatment of wounds |
US5495541A (en) * | 1994-04-19 | 1996-02-27 | Murray; Steven C. | Optical delivery device with high numerical aperture curved waveguide |
US5944687A (en) * | 1996-04-24 | 1999-08-31 | The Regents Of The University Of California | Opto-acoustic transducer for medical applications |
US5849008A (en) * | 1996-04-26 | 1998-12-15 | Anthony; Phillip F. | Method for destruction of the inner ear special sensory epithelium to relieve positional vertigo |
US5951544A (en) * | 1996-12-04 | 1999-09-14 | Laser Industries Ltd. | Handpiece assembly for laser apparatus |
SE0501077L (sv) * | 2005-05-12 | 2006-11-13 | Spectracure Ab | Anordning för fotodynamisk diagnos eller behandling |
ITFI20050196A1 (it) * | 2005-09-22 | 2007-03-23 | El En Spa | Strumento multifibra per chirurgia laser a contatto |
DE102006013770A1 (de) | 2006-03-24 | 2007-09-27 | Occlutech Gmbh | Occlusionsinstrument und Verfahren zu dessen Herstellung |
US9907616B1 (en) * | 2012-02-02 | 2018-03-06 | University Of North Carolina At Charlotte | System for TFL lithotripsy, including endoscope with detachable and replaceable wave guide and method for use |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB1153843A (en) * | 1967-03-24 | 1969-05-29 | Becton Dickinson Co | Apparatus for Laser Surgery |
US3821510A (en) * | 1973-02-22 | 1974-06-28 | H Muncheryan | Hand held laser instrumentation device |
US3914015A (en) * | 1974-10-15 | 1975-10-21 | Itt | Fiber optic connector and assembly method |
GB1429843A (en) * | 1973-06-02 | 1976-03-31 | Plessey Co Ltd | Endwise coupling of light guides |
US4027938A (en) * | 1976-07-01 | 1977-06-07 | The United States Of America As Represented By The Secretary Of The Navy | Fiber optic cable connector |
Family Cites Families (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US624392A (en) * | 1899-05-02 | Seaechroom | ||
GB1103079A (en) * | 1966-02-17 | 1968-02-14 | Internat Res And Dev Company L | Improvements in and relating to surgical probes |
US3622743A (en) * | 1969-04-28 | 1971-11-23 | Hrand M Muncheryan | Laser eraser and microwelder |
CH535042A (de) * | 1971-02-26 | 1973-03-31 | Woog Inst Rech | Steckvorrichtung an einem insbesondere zur Körperpflege dienenden Handgerät zur Befestigung auswechselbarer Behandlungsinstrumente |
US3912364A (en) * | 1974-04-08 | 1975-10-14 | Corning Glass Works | Mixer for optical waveguide bundle |
CA1041610A (fr) * | 1974-06-28 | 1978-10-31 | Carol Block | Appareil et methode pour epiler utilisant l'energie lumineuse |
IL49999A (en) * | 1976-01-07 | 1979-12-30 | Mochida Pharm Co Ltd | Laser apparatus for operations |
US4273109A (en) * | 1976-07-06 | 1981-06-16 | Cavitron Corporation | Fiber optic light delivery apparatus and medical instrument utilizing same |
US4087158A (en) * | 1976-12-06 | 1978-05-02 | The United States Of America As Represented By The Secretary Of The Navy | Low-loss single filament fiber optic connector with three concentric tapered members for each filaments |
US4266547A (en) * | 1977-05-16 | 1981-05-12 | Olympus Optical Co., Ltd. | Laser knife |
DE7821507U1 (de) * | 1978-07-18 | 1979-04-05 | Espe Fabrik Pharmazeutischer Praeparate Gmbh, 8031 Seefeld | Schutzhuelse fuer einen quarzstab- lichtleiter |
JPS5552750A (en) * | 1978-10-12 | 1980-04-17 | Mochida Pharm Co Ltd | Laser knife* which can be detected* of tumor portion |
US4291941A (en) * | 1980-02-04 | 1981-09-29 | The Deutsch Company Electronic Components Division | Optical fiber connector |
-
1981
- 1981-07-07 JP JP56105077A patent/JPS587235A/ja active Pending
-
1982
- 1982-07-05 CA CA000406623A patent/CA1196694A/fr not_active Expired
- 1982-07-06 EP EP82106032A patent/EP0069389B1/fr not_active Expired
- 1982-07-06 DE DE8282106032T patent/DE3274184D1/de not_active Expired
- 1982-07-07 US US06/396,174 patent/US4538609A/en not_active Expired - Fee Related
- 1982-07-07 AU AU85693/82A patent/AU8569382A/en not_active Abandoned
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB1153843A (en) * | 1967-03-24 | 1969-05-29 | Becton Dickinson Co | Apparatus for Laser Surgery |
US3821510A (en) * | 1973-02-22 | 1974-06-28 | H Muncheryan | Hand held laser instrumentation device |
GB1429843A (en) * | 1973-06-02 | 1976-03-31 | Plessey Co Ltd | Endwise coupling of light guides |
US3914015A (en) * | 1974-10-15 | 1975-10-21 | Itt | Fiber optic connector and assembly method |
US4027938A (en) * | 1976-07-01 | 1977-06-07 | The United States Of America As Represented By The Secretary Of The Navy | Fiber optic cable connector |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0069351A2 (fr) * | 1981-07-02 | 1983-01-12 | Sumitomo Electric Industries Limited | Poiguée pour couteau chirurgical à laser |
EP0069351A3 (en) * | 1981-07-02 | 1984-02-15 | Sumitomo Electric Industries Limited | Hand piece for use with surgical laser knife device |
FR2552656A1 (fr) * | 1983-09-30 | 1985-04-05 | Messerschmitt Boelkow Blohm | Applicateur a main pour la chirurgie a laser |
EP0336009A1 (fr) * | 1988-03-07 | 1989-10-11 | Deutsche Aerospace AG | Dispositif à un conduit de lumière |
EP0439263A1 (fr) * | 1990-01-12 | 1991-07-31 | Laserscope | Pince pour instruments |
Also Published As
Publication number | Publication date |
---|---|
CA1196694A (fr) | 1985-11-12 |
AU8569382A (en) | 1983-01-13 |
DE3274184D1 (en) | 1987-01-02 |
US4538609A (en) | 1985-09-03 |
JPS587235A (ja) | 1983-01-17 |
EP0069389B1 (fr) | 1986-11-12 |
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